Quality of Life in Children with Recurrent Acute Otitis Media in Southwestern of Iran

  • Nader Saki
  • Fakher Rahim
  • Soheila NikakhlaghEmail author
  • Mozafar Sarafraz
  • Esmat Jafarzadeh
Original Article


Otitis media (OM) is one of the most common disorders in childhood and may have a considerable impact on quality of life and functional health status of children. The aim of the study was to assess the quality of life in children with recurrent acute otitis media before and after the treatment by using a questionnaire. A multicentre survey base study. This study was conducted at Imam Khomeini and Apadana Hospitals in the southwestern region of Iran between Sep 2008 and March 2009. Regardless of primary complaint, all patients completed a demographic, health-related quality of life (HRQoL) and OM-6 surveys. A total of 246 patients included in this study. The mean age of patients in this study was 2.62 years. One month follow-up questionnaires were obtained from 180 patients for a 73.17% response rate, and 12 weeks follow-up questionnaires were obtained from 150 patients for a 61.38% response rate. The children with recurrent AOM had poorer scores t. Quality of life of children with three or more episodes of AOM in the preceding year was poorer than that of children with 2–3 episodes.


Otitis media Recurrent Quality of life Children 



This study is funded by Research Deputy, Ahvaz Jundishapur University of Medical Sciences.

Conflict of interest



  1. 1.
    Boruk M, Lee P, Faynzilbert Y, Rosenfeld RM (2007) Caregiver well-being and child quality of life. Otolaryngol Head Neck Surg 146:159–168CrossRefGoogle Scholar
  2. 2.
    Rosenfeld RM, Goldsmith AJ, Tetlus L, Balzano A (1997) Quality of life for children with otitis media. Arch Otolaryngol Head Neck Surg 123:1049–1054PubMedCrossRefGoogle Scholar
  3. 3.
    Brouwer CNM, Rovers MM, Maillé AR, Veenhoven RH, Grobbee DE, Sanders EAM, Schilder AGM (2005) The impact of recurrent acute otitis media on the quality of life of children and their caregivers. Clin Otolaryngol 30:258–265PubMedCrossRefGoogle Scholar
  4. 4.
    Saki N, Nikakhlagh S, Ahmadi K (2009) Comparison of PCR assay and culture for detecting bacteria in middle ear fluid of children with otitis media with effusion. Int Adv Otol 5:1Google Scholar
  5. 5.
    Brouwer CN et al (2005) Effect of pneumococcal vaccination on quality of life in children with recurrent acute otitis media: a randomized, controlled trial. Pediatrics 115(2):273–279PubMedCrossRefGoogle Scholar
  6. 6.
    Haggard MP, Smith SC (1999) Impact of otitis media on child quality of life. In: Rosenfeld RM, Bluestone CD (eds) Evidence-based otitis media. Decker, Ontario, pp 375–398Google Scholar
  7. 7.
    Brouwer CNM et al (2007) Reliability and validity of functional health status and health-related quality of life questionnaires in children with recurrent acute otitis media. Qual Life Res 16:1357–1373PubMedCentralPubMedCrossRefGoogle Scholar
  8. 8.
    Klein JO (2001) The burden of otitis media. Vaccine 19:S2–S8CrossRefGoogle Scholar
  9. 9.
    Saki N, Nikakhlagh S, Modaress DM (2005) Incidence of otitis media with effusion in the first grade students of Ahvaz school. Sci Ahvaz Med J 4(3):211–215Google Scholar
  10. 10.
    Melegaro A, Edmunds WJ (2004) Cost-effectiveness analysis of pneumococcal conjugate vaccination in England and Wales. Vaccine 22(31–32):4203–4214PubMedCrossRefGoogle Scholar
  11. 11.
    Asmussen L, Sullivan SA, Olson LM, Fleming GV (1996) The‘‘Ear Infection Survey’’: a condition-specific functional outcomes measure for families of children with chronic otitis media. AHSR FHSR Annu Meet Abstr Book 13:14Google Scholar
  12. 12.
    Rosenfeld RM, Bhaya MH, Bower CM, Brookhouser PE, Casselbrant ML, Chan KH et al (2000) Impact of tympanostomy tubes on child quality of life. Arch Otolaryngol Head Neck Surg 126:585–592PubMedCrossRefGoogle Scholar
  13. 13.
    Greenberg D, Bilenko N, Liss Z, Shagan T, Zamir O, Dagan R (2003) The burden of acute otitis media on the patient and the family. Eur J Pediatr 162(9):576–581PubMedCrossRefGoogle Scholar
  14. 14.
    Alsarraf R, Jung CJ, Perkins J, Crowley C, Gates GA (1998) Otitis media health status evaluation: a pilot study for the investigation of cost-effective outcomes of recurrent acute otitis media treatment. Ann Otol Rhinol Laryngol 107:120–128PubMedGoogle Scholar
  15. 15.
    Bertin L, Pons G, d’Athis P, Duhamel JF, Maudelonde C, Lasfargues G et al (1996) A randomized, double-blind, multicentre controlled trial of ibuprofen versus acetaminophen and placebo for symptoms of acute otitis media in children. Fundam Clin Pharmacol 10:387–392PubMedCrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2012

Authors and Affiliations

  • Nader Saki
    • 1
  • Fakher Rahim
    • 2
  • Soheila Nikakhlagh
    • 1
    Email author
  • Mozafar Sarafraz
    • 1
  • Esmat Jafarzadeh
    • 3
  1. 1.Department of Otolaryngology, Head and Neck Surgery. Imam Khomeini HospitalAhvaz Jundishapur University of Medical SciencesAhvazIran
  2. 2.Department of Epidemiology, Endocrinology and Metabolism Research InstituteTehran University of Medical SciencesTehranIran
  3. 3.Golestan HospitalAhvaz Jundishapur University of Medical SciencesAhvazIran

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